HomeMy WebLinkAbout05-24-121505610140
REV-1500 EX I°'_'°'
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO Box z8osol INHERITANCE TAX RETURN
_Harrisburg PA 17128-06ot RESIDENT DECEDENT 2 1 1 1 0 9 6 7
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date Of Birth MMDDYYYY
1 7 4 2 D 3 6 7 0 0 8 2 9 2 0 1 1 1 0 0 7 1 9 2 7
Decedent's Last Name Suffix Decedent's First Name MI
S H A N K S Y L V E S T E R F
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
S H A N K J A N E T M
Spouse's Social Security Number
1 8 2 2 2 9 8 0 9 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
O 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
D A V I D H S T O N E E S Q U I R E 7 1 7 7 7 4 7 4 3 5
REGISTER WILLS USE ONLY
•--- ~.'.
First line of address ~ ~ ~~
4 1 4 B R I D G E S T R E E T ~.~ ~_ ~.~
-' ~; - -~
Second line of address ~,
--, ± `~7
--~
;~
City or Post Office State ZIP Code ~___ ___ _- _._.~E-FILED r..a ~~' .-:;
N E W C U M B E R L A N D P A 1 7 0 7 0 ~ `'
Correspondent's a-mail address: D S T O N E a~ S T O N E L A W• N E T
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI ATURE OF ERSON RESPONSIBLE FOR FILING RETURN DATE
A~RESS ,~-'
514 EIGHTH RE NEW CUMBERLAND PA 17070
SI PRE RE OT THAN REPRESENTATIVE DATE
_ _S ~ 1 ~ t 2
ADDRE
414 BRIDGE S~ EET
1505610140
NEW CUMBERLAND PA 17070
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 J
~,(,r
1505610240
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: SYLVESTER F• SHANK 1 7 4 2 0 3 6 7 0
RECAPITULATION
1. Real Estate (Schedule A) ........................................... 1. 1 6 1 4 0 0, 0 0
2. Stocks and Bonds (Schedule B) ...................................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages and Notes Receivable (Schedule D) .......................... 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested ....... 7.
8. Total Gross Assets (total Lines 1 through 7) ........................... 8.
2 2 2 6 5 4. 3 1
3 5 6 3 4 3, 5 1
2 7 8 5 4 7, 9 0
1 0 1 8 9 4 5. 7 2
9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. 1 5 ~ 9 3 . 9 8
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10.
11. Total Deductions (total Lines 9 and 10) ............................... 11. 1 5 ~ 9 3 . 9 8
12. Net Value of Estate (Line 8 minus Line 11) ............................ 12. 1 0 0 3 1 5 1 . ~ 4
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................... . 13. ,
14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... 14. 1 0 0 3 1 5 1 . 7 4
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x• 0 0 1 0 0 3 1 5 1 7 4 15.
16. Amount of Line 14 taxable
at lineal rate X• 0 0 0 0 1g_
17. Amount of Line 14 taxable
at sibling rate X .12 0 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 0 0 1 g.
19. TAX DUE ......................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505610240 1505610240
0. 0 0
0. 0 0
0. 0 0
0. 0 0
0. 0 0
J
REV-1500 EX Page 3 Fife Number
Decedent's Complete Address: 21 11 0967
DECEDENT'S NAME
SYLVESTER F• SHANK
STREET ADDRESS
514 EIGHTH STREET
- --
. _ _ _- ___
CITY STATE !ZIP
NEW CUMBERLAND iPA 117070-
Tax Payments and Credits:
1 • Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
Total Credits (A + B) (2)
(3)
(4)
(5)
Make check payable to: REGISTER OF WILLS, AGENT
0.00
0.00
0.00
0.00
0.00
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : .................................................................. .... ^ Q
b. retain the right to designate who shall use the property transferred or its income; ........................... .... ^ X^
c. retain a reversionary interest; or ............................................................................................ .... ^ X^
d. receive the promise for life of either payments, benefits or care? ................................................... .... ^ Q
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ................................................................................... .... ^
3. Did decedent own an "in trust for" orpayable-upon-death bank account or security at his or her death? ..... .... ^ Q
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? .............................................................................................. .... X^ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PA RT OF THE RETURN.
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
3 percent [72 P.S. §9116 (a) (1.1) (i)j.
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)j. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)j.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)j.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, undE
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX+ (01-10)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
w i h i ~ ter: FILE NUMBER:
SYLVESTER F• SHANK 21 11, 0967
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is jointlyowned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 Property located at 514 Eighth St New Cumberland 161,400.00
Cumberland Co, PA at assessed value ($161,400)
times CLR (1)
TOTAL (Also enter on Line 1, Recapitulation.) I $ 161 , 4 0 0 • 0 0
If more space is needed, use additional sheets of paper of the same size.
REV-1503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
SYLVESTER F• SHANK 21 11 D967
All property jointlyowned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 27 shares Alcatel-Lucent stock ~ $3.580 each 96.66
2 28 shares Allied Irish Bank stock ~ $•049 each 1.37
3 52.487 shares AT&T Inc stock D $29.315 each 1,538.66
4 381.792 shares Bristol-Myers Squibb Co stock D 11,171.23
$29.260 each
5 251.089 shares Coca-Cola Co stock a~ $69.360 each 17,415.57
6 113.793 shares Comcast Corp stock a $20.960 each 2,385.10
7 122.951 shares Hershey Co stock a $57.665 each 7,089.98
8 Legacy Treasury Direct-#912828FF2 $50000 Note ~ 50,000.00
5 1/8i Note C 16 dtd 5-15-06 Maturity dt 5-15-16
9 267.826 shares McDonalds Corp stock a~ $90.445 each 24,223.52
10 179.274 shares Pepsico Inc stock a $63.875 each 11,451.17
11 189.745 shares Vanguard-500 Index Fund Adm 21,221.08
23-1999755 a~ $111.84D each
12 6720•?89 shares Vanguard-GNMA Fund Admiral 74,735.17
23-2439154 a $11.120 each
13 24 shares Zimmer Holdings Inc stock a~ $55.200 each 1,324.80
TOTAL (Also enter on line 2, Recapitulation) $ 2 2 2 , 6 5 4 . 3 7,
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX+ (11-10)
pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE
CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN
RESIDENT DECEDENT
PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
SYLVESTER F• SHANK 21 11 0967
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1• Capitol Blue Cross-refund on insurance 390.14
2 Highmark Blue Rx-refund on insurance 54.83
3 Integrity Bank-Cert of Deposit #1026047 25,000.00
4 Integrity Bank-MM Acct #203021033 24,992.82
5 NCFCU-Acct #87917 Certificate CD1 50,000.00
6 NCFCU-Acct #87917 Certificate CD2 50,000.00
7 NCFCU-Acct #87917 Savings SI 5.00
8 Pentagon Federal Credit Union-Share Acct 53.10
#2903627-01-2
9 PNC Bank-Cert of Deposit #1020024970 50,210.84
Princ $50,000, Int $210.84
10 Susquehanna Banchares Inc-f1MDA Acct #10009599720 150,136.78
Princ $150,094.03, Int $42.75
11 2002 Ford Taurus sold 5,500.00
TOTAL (Also enter on Line 5, Recapitulation) I $ 3 5 6 , 3 4 3 • 51
If more space is needed, insert additional sheets of paper of the same size
REV-1510 EX+ (08-09)
pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON•PROBATE PROPERTY
RESIDENT DECEDENT
"" ^' ` "' hlLt NUMBER
SYLVESTER F• SHANK 21 11 0967
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
'
NUMBER INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OFDECD
S EXCLUSION TAXABLE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1• PNC Bank-IRA Acct #55010205037 30,058.37 100.00 30,058.37
Princ $29,397.07, Int $661.30 - benef
is Janet M• Shank, wife
2• Pentagon Fed Credit Union-IRA Acct 26,861,•82 ],00.OD 26,861.82
#423D7,97-25-5 beneficiary is Janet
M• Shank, wife
3• Pentagon Fedl Credit Union-IRA Acct 221„627.71 ],00•DO 27„627.71
#4264649-25-4 beneficiary is Janet
M• Shank, wife
TOTAL (Also enter on Line 7, Recapitulation) ~$ 2 7 8, 5 4 7. 9 0
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+ (10-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
SYLVESTER F• SHANK 21 11 0967
Decedent's debts must be reported on Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A• FUNERAL EXPENSES:
1• Parthemore Funeral Home-funeral expenses 6,480.48
B
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
Year(s) Commission Paid:
State ZIP
2. AttomeyFees: DaVld H Stone, Esquire S,OOD•00
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 3 , 5 D D • D D
Claimant Janet M Shank
Street Address 514 E i g h t h S t r e e t
city New Cumberland state PA zIP 17070
Relationship of Claimant to Decedent S u r v i v i n g s p o u s e
4 • Probate Fees: Register of Wills, Cumberland County 683.50
5 • Accountant Fees:
6 • Tax Return Preparer Fees:
7• Register of Wills-Filing Inh Tax Ret and Inventory 30.00
2• Reserve for closing expenses 10D•00
TOTAL (Also enter on Line 9, Recapitulation) I $ 15 , 7 9 3 9 8
If more space is needed, use additional sheets of paper of the same size.
REV-1513 EX+ (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF: FILE NUMBER:
SYLVESTER F• SHANK 21 11 0967
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1• JANET M• SHANK
514 EIGHTH STREET
NEW CUMBERLAND, PA 17070
II
1-
Spousal
1,003,151.74
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN:
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1•
TOTAL Of PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $
If more space is needed, use additional sheets of paper of the same size.
4 ~ eE+~.~.ail:s\S11P,Din,SYC'IF.3''cR
LAST WILL AND TESTAMENT
OF
SYLVESTER F. SHANK
I, SYLVESTER F. SHANK, of the Borough of New Cumberland, County
of Cumberland, and Commonwealth of Pennsylvania, declare this to be my
last will and revoke any will previously made by me.
ITEM I: I bequeath my automobiles, household and personal
effects and other tangible personalty of like nature (not including
cash or securities) together with any existing insurance thereon, to
my spouse, JANET M. SHANK. Should my spouse, JANET M. SHANK,
predecease me, I bequeath such tangible personalty and insurance
thereon to such of my children as are living at the time of my death,
to be divided among them by my Executrix with due regard for her
personal preferences in as nearly equal shares as practical.
ITEM II: I devise and bequeath the remainder my estate, of every
nature and wherever situate, to my spouse, JANET M. SHANK, subject to
my directions concerning the DISCLAIMER TRUST set forth in ITEM IV.
ITEM III: If my spouse, JANET M. SHANK, predeceases me, I devise
and bequeath the residue of my estate, of every nature wherever
situate as follows:
A. One-half ('~) thereof to my son, MICHAEL S. SHANK. Should
my son, MICHAEL S. SHANK, predecease me, his share shall be paid to
his issue, per stirpes, and in default thereof to my daughter, SUZAN
A. KISSINGER.
Page 1 of 9
B. Two-sixth (2/6) thereof to my daughter, SUZAN A.
KISSINGER. Should my daughter, SUZAN A. KISSINGER, predecease me, her
share shall be added to the share created for my grandson, JEFFREY
KISSINGER, in ITEM III. C.
C. One-sixth (1/6) thereof to the Trustee herein after named
IN TRUST for my grandson, JEFFREY KISSINGER, to hold, manage, invest
and reinvest the share so received, and the accumulation of income
thereon. The Trustee shall distribute so much of the income and the
principal of the trust as the Trustee shall in his sole and absolute
discretion deem advisable for the support of my grandson, JEFFREY
KISSINGER, after taking into account all other available resources and
sources of income including entitlement to government benefits such as
Supplemental Security Income, Medical Assistance, General Assistance,
AFDC, Food Stamps, Mental Health/Mental Retardation Services, Children
and Youth Services, Vocational Rehabilitation Services, Attendant
Care, or any other type of government benefit or services. It is my
intent that this trust shall supplement and not supplant otherwise
available government benefits. Any income not distributed for the
support of my grandson, JEFFREY KISSINGER, each year shall be
distributed to my daughter, SUZAN A. KISSINGER, or in default thereof,
to my son, MICHAEL S. SHANK, it being my intent that all income earned
under the trust shall be distributed each year. Upon the death of my
grandson, JEFFREY KISSINGER, the then remaining principal and any
Page 2 of 9
accumulated or undistributed income shall be distributed to my
daughter, SUZAN A. KISSINGER, and in default thereof to my son,
MICHAEL S. SHANK, or to his issue, per stirpes.
ITEM IV: I remind my spouse, JANET M. SHANK, and her personal
representative, guardian, or agent acting under Power of Attorney,
that she may disclaim any part or all of any distribution to her
herein made. In particular, it may be desirable for her to disclaim a
portion or my estate, and if she does so, the disclaimed portion shall
pass to a separate DISCLAIMER TRUST for the following uses and
purposes:
A. Trustee shall pay the net income therefrom to my spouse,
JANET M. SHANK, for and during her lifetime in such periodic
installments as the Trustee shall find convenient, but at least as
often as quarter-annually.
B. As much of the principal of this trust as the Trustee,
in his sole discretion, may from time to time think advisable for the
support of my spouse to maintain her in the station of life to which
she is accustomed at my death, shall be either paid to her or else
applied directly for her benefit by the Trustee after taking into
account her other readily available assets and sources of income.
C. The Trustee may apply the net income of this trust for
the support of my spouse, JANET M. SHANK, should she by reason of age,
Page 3 of 9
illness or other cause, in the opinion of the Trustee, be incapable of
disbursing it.
D. In addition to the above provisions, my spouse shall
have the power to direct Trustee to pay to her or to apply out of
principal in each year, including the year of my death, an amount not
in excess of the greater of Five Thousand ($5,000.00) Dollars or five
(5%) percent of the then aggregate value of the trust principal. This
power is non-cumulative and can be exercised only by an instrument in
writing signed by my spouse, and delivered to the Trustee.
E. Upon the death of my spouse, JANET M. SHANK, or upon my
death should my spouse predecease me, the Trustee shall distribute the
balance of the principal and any accumulated and undistributed income
pursuant to the provisions of Item III herein.
ITEM V: Should any person entitled to a share of my estate not
have attained the age of twenty-eight (28) years at the time of
distribution to him or her or, in the opinion of the Trustee, be
incapable of disbursing his or her share because of illness or other
cause, I devise and bequeath the share of each such issue to the
Trustee hereinafter named, IN SEPARATE TRUST, to hold, manage, invest
and reinvest the share so received, and the accumulation of income
thereon, and to use and apply the income and principal, or so much
thereof as, in the Trustee's discretion, may be necessary or
appropriate for such child's support and education (including college
Page 4 of 9
education, both graduate and undergraduate) without regard to his or
her parent's ability to provide for such support or education, to make
payment for these purposes, without further responsibility, to such
child or such child's parents or to any person taking care of such
child. Any principal or income not so applied shall be distributed to
such child absolutely when he or she attains the age of twenty-eight
(28) years or become competent. If he or she dies before obtaining
age twenty-eight (28) years or before becoming competent, the trust
shall terminate and such shares shall be distributed to his or her
personal representative.
ITEM VI: The interests of the beneficiaries hereunder shall not
be subject to anticipation or voluntary or involuntary alienation.
ITEM VII: All federal, state and other death taxes payable
because of my death, with respect to the property forming my gross
estate for tax purposes, whether or not passing under this will,
together with any interest or penalty imposed in connection with such
tax, shall be considered a part of the expense of the administration
of my estate and shall be paid from my residuary estate without
apportionment or right of reimbursement.
ITEM VIII: I appoint my son, MICHAEL S. SHANK, Trustee of the
Disclaimer Trust and any Trust created under Item V herein. Should my
son, MICHAEL S. SHANK, fail to qualify or cease to act as Trustee, I
appoint my daughter, SUZAN A. KISSINGER, Trustee of the Disclaimer
Page 5 of 9
Trust and any Trust created under Item V herein. My daughter, SUZAN
A. KISSINGER, in her sole discretion, shall have the right and
authority to appoint a successor Trustee to be effective at her
resignation or death. In the event she fails to choose a successor
Trustee, at the death or inability of SUZAN A. KISSINGER to serve as
Trustee, I appoint PNC BANK, NATIONAL ASSOCIATION, Trustee of the
Disclaimer Trust and any Trust created under Item V herein.
ITEM IX: I appoint my daughter, SUZAN A. KISSINGER, Trustee of
the Trust created for my grandson, JEFFREY KISSINGER, in Item III.C.
herein. Should my daughter, SUZAN A. KISSINGER, fail to qualify or
cease to act as Trustee, I appoint my son, MICHAEL S. SHANK, Trustee
of the Trust created for my grandson, JEFFREY KISSINGER, in ITEM
III.C. herein. My son, MICHAEL S. SHANK, in his sole discretion,
shall have the right and authority to appoint a successor Trustee to
be effective at his resignation or death. In the event he fails to
choose a successor Trustee, at the death or inability of MICHAEL S.
SHANK to serve as Trustee, I appoint PNC BANK, NATIONAL ASSOCIATION,
Trustee of the Trust created for my grandson, JEFFREY KISSINGER, in
ITEM III.C. herein.
ITEM X: I appoint my spouse, JANET M. SHANK, Executrix of this my
last will. Should my spouse, JANET M. SHANK, fail to qualify or cease
to act as Executrix, I appoint my children, MICHAEL S. SHANK and SUZAN
Page 6 of 9
A. KISSINGER, Co-Executors with the same powers and duties of this my
last will.
ITEM XI: I direct that my Executrix and Trustee and their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, SYLVESTER F!! SHANK, have hereunto set my
hand and seal this ~3fh day of _~.oL~rn ~<r 2010.
~'
~~
NESTER F. SHANK
SIGNED, SEALED, PUBLISHED and DECLARED by SYLVESTER F. SHANK, the
Testator above named, as and for his Last Will and Testament, and in
the presence of mss, who at his request, in his presence and in the
pres~Ce~of/ea/ch~other, have subscribed our names as witnesses.
W
Witness
414 Bridge St., New Cumberland, PA
Address
414 Bridcte St., New Cumberland, PA
Address
Page 7 of 9
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND )
I, SYLVESTER F. SHANK, the Testator whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law do hereby acknowledge that I signed and executed this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein contained.
~~
S NESTER F. SHANK
Sworn to or affirmed to and acknowledged before me by SYLVESTER
F. SHANK, the Testator, this ~_ day of SQQ 1~m~QY 2010.
U.c.(.~.~1 ~~~ o,Q.~
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
KELLY A. BIRDSALL, Notary Public
New Cumberland Boro., Cumberland Co.
My Commission Expires June 18, 2013
Page 8 of 9
e
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND )
We, `~~~~~ ~ .~"~-r~e~ and ~~~\- ~ ~~~\~ ,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testator sign and execute the instrument as
his last will; that Testator signed willingly and that he executed it
as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator signed the will as
witnesses; that to the best of our knowledge, the Testator was at that
time eighteen or more years of age, of sound mind and under no
constraint or undue influence.
Witness
Sworn to or affirmed to and acknowledged before me by
~~~~~- ~'C~~.. and ~~'~`~' ~' ~~.."~~~ witnesses,
this ~_ day of ~TC~~9J~~ 2010.
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TaxDB Result Details
Detailed Results for Parce126-24-0811-395. in the 2010 Tax Assessment Database
DistrictNo 26
Parcel [D 26-24-0811-395.
MapSuffix
HouseNo 514
Direction
Street EIGHTH STREET
Ownerl SHANK, SYLVESTER F JR
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PropType R
PropDesc
LivArea 1303
CurLandVal 46400
CurImpVal 115000
CurTotVal 161400
CurPrefVal
Acreage .21
C1GrnStat
TaxEx 1
SaleAmt 1
SaleMo 08
SaleDa O1
SaleCe 19
SaleYr 96
DeedBkPage 00143-00758
YearBlt 1957
HF File Date 10/27/2004
HF_Approval_Status A
Page 1 of 1
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Intraday Data providetl by SIX Telekurs and subject to (erma of use
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pravidatl by NASDAQ.
More information on NASDAC traded symbols and their current lnancial status.
Intraday data delayed 15 minutes for Nasdaq, and 20 minutes for other ezchanges.
Dow Jones IndezesSM from Dow Jones a Company, Inc.
SEHK intraday tlata is prov~tletl by 51% Telekurs and is at least 60-minutes tlelayed.
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Intraday data delayed 15 minutes br Nasdaq, and 20 minutes Mr other exchanges.
Daw Jones IndexesSM from Dow Janes 8 Company, Inc.
SEHK intraday tlata 15 provided by SIX Telekurs and is at least 60-minutes delayed.
All quotas are In local exchange time.
http://bigcharts.marketwatch.com/historical/default.asp?symb=HSY&closeDate=8%2F29... 9/16/2 1 1
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http://bigcharts.marketwatch.com/historical/default.asp?symb=PEP&closeDate=8%2F29%... 9/ 16/2011
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Zimmer Holdings Inc., ZMH Historical Quote - (NYSE) ZMH, Zimmer Holdings Inc. Sto... Page 1 of 1
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Copyright 2011 MarketWatch, Inc. All nghts reserved.
By using Mis sde, you agree to the Terms of Use and Pnva<v Polcv (updated 4/B/0a).
Intraday Data provitled by SIX Telekurs and subject to terms of use.
Historical and current endrot-day data provitled by SIX Telekurs. Intraday data delayed per exchange requirements. Dow Jones Indexes (SM) kom Dow Jones 8 Cam
pany, Inc. All quotes are in local exchange time. Real time last aab data
provided by NASDAQ.
Mora inlormation on NASDAo Irad tl ~mb I• and their current ,financial status
Intraday tlata delayed 15 minutes tar Nasdaq, and 20 minutes for other exchanges.
Dow Jonas IndexesSM from Daw Jones d Company, Inc.
SEIiK intratlay tlata is provided by SIX Telekurs and is at least 6nininutes tlelayetl.
All quotes are in local exchange time.
~ I~~-~`~ ~- ~ = Ss. a~
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http://bigcharts.marketwatch.com/historical/default.asp?symb=ZMH&closeDate=8%2F29... 9/ 16/2011
Integrity
B A N K
September 16, 2011
Dear Mr. Stone:
I am working with a mutual customer Janet Shank for The Estate of Sylvester F. Shank.
The date of death balances for Sylvester Shank on August 29, 2011 for the high yield
checking account was $18,052.92. The high yield checking account number is
203009489. The money market account date of death balance was $24,992.82. The
account number for the money market was 203021033. The money market was closed on
September 16, 2011. The money market account was in Sylvester F. Shank's name only.
The certificate of deposit date of death balance was $25,000.00. The certificate of deposit
was closed on September 16, 2011 and a new certificate of deposit was open in Janet
Shank's name only. The new certificate of deposit account number is1050858. The
interest for the certificate of deposit transfers in to the high yield checking account.
Sylvester Shank did not have a safe deposit box with Integrity Bank
Sincerely,
7
~C=l
Barbara L. Tome
Senior Customer Service Representative
a't~
~~~ ~ Slildr~C
3~=i5 M~rr~et Street, Carne Hill, Pfl !7011 • Phone: ?I? >20-=900 •87?-1-NAVf.7T • Fax: il?-920-i90~ • uat~w. inrcgrrtybrutkonlrnr.rorrz
Your Community Credit Union
P.O. Box 658, New Cumberland, PA 17070-0658
Phone: (717) 774-7706. 1-800-716-2328 • Fax: (717) 774-7996 • Web: www.ncfcuonline.org
September 22, 2011
Stone LaFaver & Shekletski
414 Bridge Street
P.O. Box E
New Cumberland, PA 17070
RE: Estate of Sylvester F. Shank, Jr.
Date of Death: August 29, 2011
Dear Mr. Stone,
Pursuant to your letter dated September 16, 2011, pertaining to the above referenced member the
information is as follows:
Account Number:
Owner(s) on Account:
Date acct opened:
Date of Death Balances:
Dividends as of Date of Death:
87917
Sylvester F. Shank, Jr.
10/09/2007
S 1 (Savings) $ 5.00
CD 1 (Certificate) $50,000.00
CD 2 (Certificate) $50,000.00
$ 2,779.25
If you need anything additional pertaining to this matter, please do not hesitate to contact me
directly.
Sincere
~ -
Barbra . Wrigh
Branch Manager
Enclosures
New Cumberland Federal Credit Union
MAY. 17 12 (THU) 11 :55 STORE DEVELOPMENT
717 972 3979 PAGE.2
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Oct. 5. 2011 6:19AM PNC BANK
~~
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October 4, 2011
Stone, Lafaver & Shekletski
David H Stone Esq
4I4 Bridge St
PO Box E
New Cumberland, PA 17070
RE: Name: Sylvester F Shank
SSN: 174-20-3670
DOD: 08-29-2011
Dear Mr. Stone:
No, 4420 P, 1/2
In response to your request for Date of Death (DOD) balances for the customer noted above, our
records show the following:
Certii`icate of Deposit
Account #11020024970 Established: 01-30-2007
SYLVESTER F SHANK
DOD balaxiee: $50,000.00 + 210.84 accrued interest
Interest paid 01-01-2011 thru 08-29-2011 $1,489.97 YTD
Checking Account
Account # 5140080535 Established: 10-OS-1983
JANET M SHANK
SYLVESTER F SHANK
DOD balance; $10,508.07 + 0.26 accrued interest
Interest paid O 1-0I -20I 1 thru 08-29-2011 $2.15 YTD
IRA Accaunt
Account #55010205037 Established: I0-02-2006
SYLVESTER F SHANK
DOD balance: $29,397.07 + 661.30 accrued interest
Interest paid 01-01-2011 thru 08-29-2011 $788.06 YTD
For benefciary information, please call 1-888-762-4727. tt
i~.ruT~~Ctct~.~ IS
J ~tiUSC ~ ~ei~~,e~t;
~Yl - S~ar~k
Page 1 of 2
Oct. 5. 2011 6.14AM PNC BANK No. 4420 P. 2/2
Loan Account
The decedent maintained Loan Account #400304$10945$405. For further information and
assistance, please contact 1-8$8-762-2265, Select option 1, then option 3 and then 0 {zero). After
pressing zero, please remain on the line to speak with a Loan Financial Service Consultant.
Please note that this office provides date of death balances for deposit accouats (IRAs, CDs, Checking and
Savings). We da not process any financial transactions or provide statements. lfyou need assistance with
any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank, N.A.
Member FDIC
This message is intended for the use of the individual or entity to which it is addressed and may
contain information that is privileger~ confrdential and exempt from disclosure under applicable law.
If the reader of this message is not the intended recipient or the employee or agent responsible far
delivering this message to the intended recipient, you are hereby notified that any dissemination,
distribution or copying of this communications is strictly prohibited. If you have received this
communication in error, please notify me immediately by reply or by telephone at SOD-762-1775 and
immediately destroy this faxed document.
Page 2 of 2
~PNCBANK
October 7, 2011
Stone LaFaver 8 Shekletski
414 Bridge Street
P.O. Box E
New Cumberland, PA 17070
ATTN: David H. Stone
RE: Sylvester F. Shank loan Number 4003048109458405
Dear Mr. Stone:
Thank you for contacting PNC Bank. We received a request on October 6, 2011
for an account balance due as of the date of death of the borrower.
As of August 29, 2011, the principal balance on the account was $ 0.00.
We appreciate the opportunity to be of service. If we can be of any further
assistance, please call us at 1-888-PNC-BANK and speak to any of our
Financial Services Consultants who are available to assist you.
Sincerely,
OC- C;~,
J.T. Mangan
Centralized Cus me Assistance Team
PNC Bank
CRISS Ref#: 211280 68740
Member of The PNC Financial Services Group
Consumer Loan Center 2730 Liberty Avenue Pittsburgh Pennsybaania 15222
September 23, 2011
STONE LAFAVER & SHEKLETSKI
414 BRIDGE STREET
PO BOX E
NEW CUMBERLAND PA 17070
Susquehanna
Susquehanna Bancshares, Inc.
26 North Cedar Street
P.O. Box 1000
Lititr, PA 17543-7000
Tel 1.800.311.3182
Fax 717.625.4478
RE: Sylvester F Shank Estate
DOD: 8/29/ 11
SS#: XXX-XX-3670
Tracking # 243243
To Whom It May Concern:
In response to your letter of September 16, 2011, here is the above customer account information
as of August 29, 2011.
Account # 1
• Account Title: Sylvester F Shank
Janet L Shank
• Account Type/# Checking 148024442
• Date Opened /Maturity 1/18/06
• Interest Rate: .OS%
• Account Balance*: $16.29
• Accrued Interest: $.00
• YTD Interest: $.03
*Account balance does not include accrued interest.
Account #2
Sylvester F Shank
MMDA 10009599720
7/27/ 11
.50%
$150,094.03
$42.75
$94.03
® There is no safe deposit box in the name of the decedent.
If I can be of further assistance, please feel free to call.
Sincerely,
&.~~ b.u~
Dawn M Berrier
Deposit Research -Reporting Department Lead
1-717-625-6546
DMB/aem
MAY. 17 12 (THU) 11 :56 STORE DEVELOPMENT
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